why do newborn babies vomit after feeding
Is it normal for my baby to vomit? It s common for babies to vomit often in the early weeks as they and as their bodies develop. You can tell when your baby is vomiting, rather than just
(possetting), because there will be a lot more coming out. Vomiting can be frightening for your baby, so he s likely to cry. Everything from to indigestion can cause your baby to be sick. Even a prolonged bout of crying or coughing can trigger this reflex. So you may see quite a lot of vomiting in your baby s first few years. An attack of vomiting will generally subside six hours to 24 hours after it starts. Your baby shouldn t need any particular treatment, apart from drinking plenty to ensure he stays. As long as your baby seems otherwise healthy and continues to gain weight, there s usually no need to worry. Trust your instincts, though, and call your GP if you are worried. When should I worry? During your baby s first few months, vomiting is probably caused by mild feeding problems, such as his tummy being too full. After the first few months, a sudden onset of vomiting is more likely to be caused by a tummy infection, such as gastroenteritis. This type of infection is often accompanied by. a a an A can sometimes cause vomiting. If your baby stops eating the food that triggers an allergic reaction, he may stop being sick. However, make an appointment with your doctor before removing foods from your baby s diet. Occasionally, vomiting can be a symptom of more serious illnesses. Call your doctor if you notice any of the following warning signs in your baby: Signs of dehydration, including a dry mouth, lack of tears, sunken, floppiness, and fewer wet nappies than usual (fewer than six nappies a day). or drink his formula milk. Vomiting for more than 12 hours, or vomiting with great force.
A non-blanching, which is a rash that doesnвt fade when the skin is pressed. Sleepiness or severe irritability. A bulging fontanelle. Shortness of breath. A swollen abdomen. Blood or bile (a green substance) in the vomit ( see below ). Persistent forceful vomiting in a newborn within half an hour of eating ( see below ). Blood or bile in the vomit: This is usually nothing to worry about if your baby was well before he vomited. It may happen when the force of regurgitation causes tiny tears in the blood vessels lining the food pipe. Your baby s vomit may also be tinged with red if he has swallowed blood from a cut in his mouth, or has had a nosebleed in the past six hours. However, call your doctor if your baby continues to have blood in his vomit or if the amount is increasing. The doctor will probably want to see a sample of the vomit if it contains blood or bile, so, although it may be an unpleasant task, try to save some. Green bile can indicate that the intestines are blocked, a condition that needs immediate attention. Persistent or forceful vomiting in a newborn within half an hour of eating: This may be due to pyloric stenosis, which is a rare condition. Pyloric stenosis is most likely to begin when your baby is a few weeks old, but could show up at any time before he reaches four months. This causes your baby to vomit. The problem is simple to remedy with minor surgery, but it does require immediate medical attention. How should I deal with vomiting? Usually, vomiting is nothing to worry about, and soon gets better. Here s what you can do to help your baby recover: Keep him hydrated: When your baby vomits, he s losing precious fluids. It s important to replace them so he doesn t get. To do this, you may be able to give him sips of oral rehydration solution (ORS), a few times an hour, alongside his usual breastmilk or full-strength formula, and water.
Check with your pharmacist or health visitor before trying this, though. Don t give your baby fruit juices or. Ease him back into his routine: If your baby hasn t vomited for 12 hours to 24 hours, you can begin moving back to his usual diet. But keep giving him plenty of fluids such as his usual milk. If your baby is eating solid foods, start with easy-to-digest foods such as cereal or yoghurt. You can also try using frozen clear liquids, such as ice lollies, if your child is over 12 months. Help him rest: Sleep may also help to settle your baby. The stomach often empties into the intestines during sleep, relieving his need to vomit. Don t give your child anti-nausea medicines (prescription or over-the-counter), unless your GP has prescribed them. If your baby attends childcare or, keep him at home until at least 48 hours after his last episode of vomiting. More tips for you: My baby just spit up. Or vomited. Iвm not sure. But should I be worried? All things considered, baby spit-up usually is not an issue. Also called reflux, it is the flow of food from the stomach to the mouth. It is common, not painful, and might continue until your baby is a year old. Often, it is simply the result of a still-developing digestive system or of overfeeding. Learn how to tell how baby spit-up is different from vomit, and when is too much of either one. Why do babies spit up? At birth, your babyвs tummy is about the size of a small marble. After three days, it is about the size of a ping-pong ball, but still canвt hold much. Until she is about 4 months old, your babyвs tummy can hold only small amounts of milk at a time. Too much milk during feedings can cause your baby to spit up or be fussy.
There is no reason to worry about these common causes of spitting up. It is not painful to them, and most babies donвt even realize they have done it. As long as your baby is healthy and gaining weight, it is simply part of the development process. It might seem like a lot, but the amount of liquid your baby spits up might not be as much as you think. If your baby spits up more than 1 or 2 tablespoons at a time (or if spitting up is associated with respiratory symptoms such as choking, coughing, or wheezing), ask your healthcare professional if there is a reason to be concerned. How can you lessen the spit-up? To help your baby spit up less often, try: Holding her in a more upright position Making sure the hole in your bottle's nipple is not too large (for bottle-fed babies). If milk continues to drip out when you turn the bottle upside down, the hole is probably too large. Keeping your baby in an upright position after eating. Avoiding too much activity Feeding your baby less food, but more often Your newborn will probably be hungry six to 10 times in a 24-hour period. As she gets bigger, her stomach will grow, so she will eat more at each feeding and eat less often. 2,3,4 The best way to feed your baby is to allow her to take as much as she seems to need. If she is fussy and has not been fed in more than two hours, it is probably time for a feeding. How is baby spit-up different from vomit? If spitting up is making your baby uncomfortable, and gets more forceful with more volume than usual, it might mean it is vomit. When babies vomit more than once, it is usually caused by a virus that includes diarrhea. Although these viruses usually are not dangerous, they can cause dehydration. Because babies younger than 1 year old are at greater risk of dehydration, consult your healthcare professional immediately if you think your baby might be dehydrated.
When should you be concerned? Although it can be alarming, an occasional vomiting episode is usually not cause for concern. Frequent vomiting can indicate reflux disease, intestinal obstruction, infection, or a protein allergy. Contact your healthcare professional if your baby's usual spit-up: Leads to other issues (discomfort, fussiness, poor weight gain, or weight loss) Is accompanied by a fever, diarrhea, bloody mucus in the vomit, or a bloated abdomen Sometimes repeated vomiting in babies between 2 weeks old and 4 months old can be a sign of a blockage at the stomach. Contact your healthcare professional if your baby vomits repeatedly. When babies have sudden bouts of vomiting associated with diarrhea, it is usually caused by a virus. Although these viruses usually are not dangerous, they can lead to dehydration, which can be a serious problem. It is important to know the signs of dehydration and what you can do to prevent it. What are the signs of dehydration? Has tearless, sunken eyes, dry skin, and little saliva The younger your baby, the greater the concern for dehydration. While she is ill, it is important to replace the fluids your baby is losing with small, frequent feedings. In many cases, an oral rehydration solution such as PedialyteВ is recommended. Check with your healthcare provider for advice. More questions about formula feeding? See our. Spangler AK, et al. J Hum Lact. 2008;24:199-205. Behrman RE, et al. Nelson Textbook of Pediatrics. 16th ed. Philadelphia: WB Saunders Co. 2000:165. Samour PQ and King K. Handbook of Pediatric Nutrition. 3rd ed. Sudbury, MA: Jones and Bartlett Publishers. 2005:90. Fomon SJ. Infant Nutrition. 2nd ed. Philadelphia: WB Saunders Co. 1974:24.
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